Dear MDACC Members:
If you have an interest in health policy (loosely defined as the decisions, actions, and plans that govern the delivery of care) we have a position for you! The ACC Carrier Advisory Committee (CAC), a workgroup of the Board of Governors, plays an essential role in monitoring and influencing the state and regional activities of the Medicare Administrative Contractors (MAC). Each ACC state chapter appoints a CAC representative to ensure local coverage determinations reflect existing ACC/AHA guidelines and current clinical practice in order to deliver appropriate, high-quality cardiovascular care to patients. We are in search of a CAC representative that would sit on the Maryland Chapter Council and be a part of the 50-state workgroup at the national level.
Time commitment generally includes:
If you are interested, please email Executive Director Jennifer Ray Beckman (firstname.lastname@example.org).
Sammy Zakaria, MD, FACC
Governor-elect, Maryland Chapter ACC
MDACC SUPPORTS CHANGES IN PRIOR AUTHORIZATION
Bills in both the Maryland House of Delegates and Senate have been introduced to reform prior authorization and step-therapy. MDACC is supporting these reforms through letters, in-person testimony, and an email campaign to the membership. See below for more details.
RE: SUPPORT FOR SB 308 Health Insurance – Utilization Review – Revisions and
SB 515 Health Insurance – Step Therapy or Fail First Protocol – Revisions
These bills target the unnecessary denial of health care services by health insurers. Commonly known as prior authorization or step therapy, these practices often delay or deny medications and services that have received clinical consensus through stringent vetting and are published and updated regularly in medical journals and literature.
Time is critical for cardiovascular patients. The sooner a cardiologist can treat and monitor a
patient, the more likely the patient is to recover and thrive. Unfortunately, insurer prior authorization program denials in Maryland are rising.
Increasingly, cardiovascular professionals use point of care tools (ACC Practice Tools) and other technological resources (NCDR National Cardiovascular Data Registry) to access information that provides update information that guides treatment decisions and helps them provide timely care.
In 2021, an American Medical Association (AMA) survey revealed the following about the impact of prior authorization on physicians and patients:
Not only are these policies hurting patients, but they are hurting physicians, too.
The process to secure prior authorization is labor intensive, costly, and stressful. Surveys consistently reveal that undue administrative burden is a leading cause of physician burnout and depression.
Go to maccscardioloy.org for registration, hotel, competition information and more!
The Maryland Chapter was featured in the May 5th Board of Governors Update, a weekly newsletter to all Chapter Presidents. Click here to read!
Click here to listen to the recording.